Reemplazo de cadera o rodilla en California
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
Los hospitales de California facturaron a Medicare una cantidad típica de $121,434 por esta hospitalización en 2024, unas 6.0 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.
Hospitales de California comparados
Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)
| Hospital | Ciudad | Hospitalizaciones de Medicare | Facturado | Pagado | Precio en efectivo | Aseguradoras (mediana) | |
|---|---|---|---|---|---|---|---|
| Palomar Medical Center Poway | Poway | 16 | $104,859 | $11,129 | – | – | |
| Usc Arcadia Hospital | Arcadia | 81 | $111,398 | $15,910 | – | – | |
| Palomar Health Downtown Campus | Escondido | 12 | $108,981 | $16,513 | – | – | |
| Docs Surgical Hospital | Los Angeles | 40 | $115,341 | $17,383 | – | – | |
| Hoag Orthopedic Institute | Irvine | 303 | $85,751 | $17,493 | – | – | |
| Fresno Surgical Hospital | Fresno | 53 | $51,937 | $17,513 | – | – | |
| Casa Colina Hospital | Pomona | 17 | $73,137 | $17,619 | – | – | |
| Uci Health - Los Alamitos | Los Alamitos | 13 | $217,971 | $17,632 | – | – | |
| Adventist Health Simi Valley | Simi Valley | 37 | $129,283 | $17,737 | – | – | |
| French Hospital Medical Center | San Luis Obispo | 20 | $105,063 | $17,925 | – | – | |
| Enloe Health | Chico | 25 | $127,170 | $18,025 | – | – | |
| Uci Health-Lakewood | Lakewood | 17 | $177,514 | $18,049 | – | – | |
| Shasta Regional Medical Center | Redding | 46 | $165,738 | $18,072 | – | – | |
| Saint John's Health Center | Santa Monica | 505 | $77,201 | $18,077 | – | – | |
| Adventist Health Twin Cities | Templeton | 13 | $216,223 | $18,100 | – | – | |
| Tri-City Medical Center | Oceanside | 14 | $107,799 | $18,145 | – | – | |
| San Dimas Community Hospital | San Dimas | 18 | $125,630 | $18,171 | – | – | |
| Chapman Global Medical Center | Orange | 25 | $96,808 | $18,180 | – | – | |
| Torrance Memorial Medical Center | Torrance | 262 | $123,345 | $18,249 | – | – | |
| Providence Mission Hospital | Mission Viejo | 20 | $115,641 | $18,347 | – | – | |
| Cedar-Sinai Marina Del Rey Hospital | Marina Del Rey | 15 | $116,401 | $18,383 | – | – | |
| Goleta Valley Cottage Hospital | Santa Barbara | 105 | $97,559 | $18,419 | – | – | |
| Scripps Memorial Hospital - Encinitas | Encinitas | 65 | $162,843 | $18,476 | – | – | |
| Clovis Community Medical Center | Clovis | 24 | $102,192 | $18,514 | – | – | |
| Oroville Hospital | Oroville | 79 | $55,738 | $18,520 | – | – | |
| Scripps Memorial Hospital La Jolla | La Jolla | 63 | $160,384 | $18,571 | $48,421 | $27,601$18,726–$44,262 · 55 planes | |
| Foothill Regional Medical Center | Tustin | 11 | $132,668 | $18,589 | – | – | |
| Redlands Community Hospital | Redlands | 18 | $109,642 | $18,591 | – | – | |
| St Johns Regional Medical Center | Oxnard | 28 | $121,434 | $18,750 | – | – | |
| Mercy Hospital of Folsom | Folsom | 24 | $163,569 | $18,757 | – | – | |
| Desert Valley Hospital | Victorville | 22 | $99,740 | $18,945 | – | – | |
| San Gabriel Valley Medical Center | San Gabriel | 22 | $111,041 | $19,039 | – | – | |
| Providence Little Company of Mary Med Ctr Torrance | Torrance | 40 | $117,575 | $19,096 | – | – | |
| Marshall Medical Center | Placerville | 23 | $190,148 | $19,104 | – | – | |
| Providence Saint Joseph Medical Ctr | Burbank | 42 | $102,542 | $19,161 | – | – | |
| Victor Valley Global Medical Center | Victorville | 27 | $77,678 | $19,274 | – | – | |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana | 45 | $120,474 | $19,324 | – | – | |
| Palmdale Regional Medical Center | Palmdale | 14 | $239,759 | $19,391 | – | – | |
| Emanuel Medical Center | Turlock | 19 | $308,507 | $19,438 | – | – | |
| Grossmont Hospital | La Mesa | 32 | $174,611 | $19,448 | $108,334 | $97,501$43,334–$115,556 · 11 planes | |
| Memorialcare Orange Coast Medical Center | Fountain Valley | 29 | $97,139 | $19,483 | – | – | |
| Huntington Hospital | Pasadena | 84 | $103,587 | $19,490 | – | – | |
| Sutter Surgical Hospital - North Valley | Yuba City | 25 | $96,495 | $19,506 | – | – | |
| Uci Health - Fountain Valley | Fountain Valley | 35 | $246,397 | $19,593 | – | – | |
| Sharp Chula Vista Medical Center | Chula Vista | 16 | $160,231 | $19,626 | – | – | |
| Santa Barbara Cottage Hospital | Santa Barbara | 100 | $110,477 | $19,672 | – | – | |
| Whittier Hospital Medical Center | Whittier | 12 | $100,665 | $19,738 | – | – | |
| Providence Holy Cross Medical Center | Mission Hills | 11 | $102,702 | $19,811 | – | – | |
| Mercy General Hospital | Sacramento | 45 | $157,297 | $19,901 | – | – | |
| San Ramon Regional Medical Center | San Ramon | 20 | $202,371 | $19,941 | – | – | |
| Los Robles Hospital & Medical Center | Thousand Oaks | 104 | $281,248 | $19,960 | – | $21,282$2,922–$35,251 · 50 planes | |
| Marian Regional Medical Center | Santa Maria | 67 | $116,377 | $20,015 | – | – | |
| Petaluma Valley Hospital | Petaluma | 12 | $160,560 | $20,040 | – | – | |
| Mercy San Juan Medical Center | Carmichael | 23 | $147,072 | $20,087 | – | – | |
| Adventist Health St Helena | Saint Helena | 16 | $234,889 | $20,123 | – | – | |
| Northridge Hospital Medical Center | Northridge | 57 | $138,346 | $20,129 | – | – | |
| Southern California Hospital at Hollywood | Hollywood | 11 | $105,952 | $20,197 | – | $27,610$18,886–$39,594 · 16 planes | |
| Lompoc Valley Medical Center | Lompoc | 23 | $64,811 | $20,219 | – | – | |
| Providence St. Jude Medical Center | Fullerton | 13 | $68,610 | $20,222 | – | – | |
| Sharp Coronado Hospital and Hlthcr Ctr | Coronado | 19 | $124,494 | $20,302 | – | – | |
| Hollywood Presbyterian Medical Center | Los Angeles | 69 | $102,107 | $20,381 | – | – | |
| Memorialcare Long Beach Medical Center | Long Beach | 14 | $115,198 | $20,393 | – | – | |
| Glendale Mem Hospital & Hlth Center | Glendale | 16 | $125,500 | $20,461 | – | – | |
| Mission Community Hospital | Panorama City | 17 | $159,827 | $20,571 | – | – | |
| Emanate Health Inter-Community Hospital | Covina | 52 | $66,300 | $20,576 | – | – | |
| Glendale Adventist Medical Center | Glendale | 44 | $154,342 | $20,587 | – | – | |
| Sequoia Hospital | Redwood City | 153 | $166,386 | $20,602 | – | – | |
| Southwest Healthcare Rancho Springs Hospital | Murrieta | 11 | $111,685 | $20,641 | – | – | |
| Mercy Medical Center Redding | Redding | 36 | $96,300 | $20,687 | – | – | |
| Ucla West Valley Medical Center | West Hills | 55 | $292,338 | $20,759 | – | – | |
| Valley Presbyterian Hospital | Van Nuys | 21 | $71,157 | $20,822 | – | – | |
| Good Samaritan Hospital | San Jose | 52 | $327,882 | $20,833 | – | – | |
| Saint Agnes Medical Center | Fresno | 27 | $89,111 | $20,853 | – | – | |
| Adventist Health White Memorial | Los Angeles | 17 | $144,156 | $20,884 | – | – | |
| Eisenhower Medical Center | Rancho Mirage | 146 | $87,547 | $20,904 | $10,641 | $18,684$7,435–$30,097 · 220 planes | |
| Sutter Maternity & Surgery Center of Santa Cruz | Santa Cruz | 13 | $101,369 | $21,089 | – | – | |
| Stanford Health Care Tri-Valley | Pleasanton | 24 | $143,012 | $21,114 | – | $57,240solo 1 plan | |
| Pih Health Good Samaritan Hospital | Los Angeles | 26 | $133,895 | $21,180 | – | – | |
| El Camino Health | Mountain View | 49 | $210,855 | $21,274 | – | – | |
| Washington Hospital | Fremont | 60 | $171,834 | $21,283 | – | – | |
| Community Memorial Hospital - Ventura | Ventura | 63 | $90,741 | $21,283 | – | – | |
| Marinhealth Medical Center | Greenbrae | 39 | $218,901 | $21,353 | – | – | |
| Sharp Memorial Hospital | San Diego | 20 | $161,376 | $21,420 | – | – | |
| Eden Medical Center | Castro Valley | 16 | $112,224 | $21,435 | – | – | |
| Memorial Medical Center | Modesto | 73 | $107,187 | $21,468 | – | – | |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 244 | $200,134 | $21,619 | – | – | |
| Scripps Green Hospital | La Jolla | 475 | $125,805 | $21,624 | – | – | |
| Providence Santa Rosa Memorial Hospital | Santa Rosa | 39 | $209,684 | $21,710 | – | – | |
| Scripps Mercy Hospital | San Diego | 85 | $165,226 | $21,958 | – | – | |
| Ventura County Medical Center | Ventura | 33 | $93,453 | $22,004 | – | – | |
| St Rose Hospital | Hayward | 57 | $127,793 | $22,197 | – | – | |
| Novato Community Hospital | Novato | 30 | $100,873 | $22,350 | – | – | |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa Monica | 82 | $116,741 | $22,698 | – | – | |
| Community Hospital of the Monterey Peninsula | Monterey | 60 | $129,394 | $23,550 | – | – | |
| Riverside Community Hospital | Riverside | 20 | $228,991 | $23,816 | – | – | |
| Providence St. Joseph Hospital | Orange | 25 | $85,475 | $23,965 | – | – | |
| Sutter Santa Rosa Regional Hospital | Santa Rosa | 79 | $107,000 | $24,005 | – | – | |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley | 56 | $104,430 | $24,276 | – | – | |
| Cedars-Sinai Medical Center | Los Angeles | 212 | $285,219 | $24,562 | – | – | |
| Peninsula Medical Center | Burlingame | 49 | $108,909 | $24,669 | – | – | |
| Riverside University Health System-Medical Center | Moreno Valley | 22 | $97,672 | $24,747 | – | – | |
| John Muir Medical Center - Concord Campus | Concord | 104 | $165,833 | $24,799 | – | – | |
| Alta Bates Summit Medical Center | Oakland | 68 | $128,716 | $25,441 | – | – | |
| Regional Medical Center of San Jose | San Jose | 14 | $383,606 | $25,484 | – | – | |
| Keck Hospital of Usc | Los Angeles | 91 | $142,037 | $26,231 | – | – | |
| University of California Davis Medical Center | Sacramento | 96 | $188,254 | $26,314 | – | $27,555$26,510–$59,498 · 4 planes | |
| Ucsf Health St. Mary's Hospital | San Francisco | 46 | $132,780 | $26,469 | – | – | |
| California Pacific Medical Center - Mission Bernal | San Francisco | 107 | $97,491 | $26,622 | – | – | |
| Ucsf Health Saint Francis Hospital | San Francisco | 14 | $149,640 | $26,934 | – | – | |
| Sutter Medical Center, Sacramento | Sacramento | 52 | $106,114 | $27,192 | – | – | |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | 52 | $122,076 | $28,202 | – | – | |
| Santa Clara Valley Medical Center | San Jose | 18 | $91,504 | $28,442 | – | – | |
| Loma Linda University Medical Center | Loma Linda | 23 | $164,082 | $29,131 | – | – | |
| Uci Health-Orange | Orange | 73 | $115,370 | $29,813 | – | – | |
| Sutter Solano Medical Center | Vallejo | 68 | $109,459 | $30,014 | – | – | |
| Stanford Health Care | Stanford | 191 | $250,769 | $30,883 | – | No en dólares (16 planes) | |
| Ucsf Medical Center | San Francisco | 157 | $149,465 | $32,373 | – | – | |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco | 28 | $156,918 | $33,951 | – | – | |
| Lac/Harbor-Ucla Med Center | Torrance | 15 | $58,888 | $37,686 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | – | – | – | – | $43,845$20,540–$51,792 · 5 planes |
Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.
Qué es
En un reemplazo de cadera o de rodilla se quitan las superficies gastadas o dañadas de la articulación y se reemplazan con piezas de metal y plástico. Se hace sobre todo por artritis y es una de las operaciones programadas más comunes en EE. UU.
Esta página trata las hospitalizaciones sin complicaciones mayores. Los pacientes que además tienen otra afección grave se facturan con un código que paga más.
Qué esperar
La cirugía dura de una a dos horas. Los pacientes se levantan y caminan el mismo día o el siguiente, y la mayoría se va a casa en uno a tres días, seguido de semanas de fisioterapia. Hoy muchos se hacen sin pasar la noche en el hospital.
Qué hace subir o bajar la factura
El implante es una parte grande de la factura, junto con el tiempo en el quirófano. La fisioterapia y los honorarios del cirujano se facturan por separado.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por reemplazo de cadera o rodilla en California?
En 119 hospitales de California, la factura típica por reemplazo de cadera o rodilla fue de $121,434 en 2024, y Medicare y el paciente juntos pagaron típicamente $20,302. El hospital típico de EE. UU. facturó $79,947.
¿Qué hospitales de California facturan menos y más por reemplazo de cadera o rodilla?
La factura promedio más baja es la de Fresno Surgical Hospital, $51,937. La más alta es la de Regional Medical Center of San Jose, $383,606. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.
¿Por qué la factura del hospital es mucho más alta que lo que se paga?
La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.
¿Cuánto pagaré yo?
Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.
Antes de ir
- Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
- Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
- Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
- Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.